HomeMy WebLinkAboutScanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: & K • f
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION.
Address: 3711 S 25th St Fort Pierce, FL 34981
Legal Description: 2a 85apFROMSEGORSEGRUN8851180W40.13 TNN00ba30WIWIhFSEGE.1463.69,THN89948W14.65FTTOPOB',HNaOC630W'43M4 ,T N865848W677.46ETTOC OLDFl MILECREEK.TH5LYAGCIL9'
Property Tax ID #: 2429-444-0001-000-4
Lot No.
Site Plan Name: Block No.
Project Name: Passman Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Like for Like A/C System Replacement
3 ton, Vertical/Ground, 8kw, 16 seer
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Dennis Passman
Name: Don Miranda
Adaitional work tojee P orme under
this permit — check
a appy:
Address: 750 NW Enterprise Drive
HVAC I _I Gas Tank
Gas Piping
_ Shutters
[]Windows{Doors
Electric Q Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S�Ft.j of First Floor:
Cost of Construction: $ 13 y'. 0 A
utilities: L_I Sewer 0 Septic
Building Height:
OWN ERAESS E E:
CONTRACTOR:
Name Dennis Passman
Name: Don Miranda
Address: 3711 S 25th Street
Company: Miranda Plumbing & Air Conditioning, Inc.
City: Fart Pierce State: FL
Zip Code: 34981 Fax:
Phone No. 772-528-9227
Address: 750 NW Enterprise Drive
City: Port St Lucie State: FL
Zip Code: 34986 Fax: 772-621-2885
Phone No. 772-878-5123
E -Mail:
Fill in fee simple Title Halder on next page if different
from the Owner listed above)
E -Mail: Ldiodato@mirandacompan ies,com
State or County License:
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thepermit molder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Com men cemen a recorded and posted on the jobsite
before the first ' If you intend to obtain fina ng, wit or an attorney before
co ei n ,work or recor " iz your Notice of Comm ncefirient.
ature of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this" day of n o u 1 20 1f , by
-00 �'j
(Name person acknovyledging )
(Signature of Notary Public -State of Florida )
Si nature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 5-7--
The forgoing instrument was acknowledged before me
this ' Y day of ^r 20 ,by
(Name ofgerson acknowledging)
ignature of Notary Public- State of Florida )
Personally known AOR Produced Identificationj Personally Known � OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No. _'FF-RqS I ems' , (Seal)
Reprised 07/l�l Y= Commission # FF945197
_. E)Vlms: November 19, 2919
Commission No. Fay,�� Seal)
�:'*z Commission # FF945187
Expires: November 19, 2€119
`':,,'0FN ,%% $
nded thrli on
..ep"51n
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
1'�#Y�'ff
ZONING
Address:
PLANS
City:
Zip: Phone:
State:
MANGROVE
City:
Zip:
State:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
REVIEW
BONDING COMPANY: Not Applicable
Name:
Address:
REVIEW
DATE
Address.
City:
City:
Zip: Phone:
Zip:
Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thepermit molder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Com men cemen a recorded and posted on the jobsite
before the first ' If you intend to obtain fina ng, wit or an attorney before
co ei n ,work or recor " iz your Notice of Comm ncefirient.
ature of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this" day of n o u 1 20 1f , by
-00 �'j
(Name person acknovyledging )
(Signature of Notary Public -State of Florida )
Si nature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 5-7--
The forgoing instrument was acknowledged before me
this ' Y day of ^r 20 ,by
(Name ofgerson acknowledging)
ignature of Notary Public- State of Florida )
Personally known AOR Produced Identificationj Personally Known � OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No. _'FF-RqS I ems' , (Seal)
Reprised 07/l�l Y= Commission # FF945197
_. E)Vlms: November 19, 2919
Commission No. Fay,�� Seal)
�:'*z Commission # FF945187
Expires: November 19, 2€119
`':,,'0FN ,%% $
nded thrli on
o ry
REVIEWS
1'�#Y�'ff
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS